| NPI | 1528122355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ANTHONY BONE Executive Director 580-226-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-05-11 |